# MRS. VICTORIA BOUHAIRIE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629225610
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2011031861 | MO | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 2016-01044 | NC | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 02/04/2019